DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Dominic Antoine	DOIID	822539	NAIC NPN	8515606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/20/2014	7/31/2018
Inactive	Non Resident	Agent	Health	10/10/2013	7/31/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/10/2014	2/2/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/10/2014	2/2/2017
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/24/2014	7/31/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/28/2015	6/21/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/28/2015	6/21/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	7/13/2015	7/31/2018
Inactive	Ins Dialogue Agency LLC	798353	Agent - Life	7/13/2015	2/2/2017